Executive Function Survey

Pick the number which best describes you for each statement.

Name


  1. I can usually find more than one way to solve a problem.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am
    male
    female


  1. Which is your ethnic group?
    White
    Hispanic
    Black
    Asian
    Native American


  1. It is pretty hard for me to control my behavior when my friends are acting up.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I can't remember things as well as my friends can.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. When thoughts pop into my brain, like calling a kid a name or pushing someone, I act on them without thinking.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My friends look to me to organize fun things to do.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am able to remember the information that I hear about in class.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am able to make plans for my school day.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I often have late assignments.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am able to remember the things that I see.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I usually know how long it will take to do an assignment.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Its easy to find the things I need in my locker because I am organized.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I lose a lot of assignments before I can hand them in.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Most of the time, I am able to look at my behavior and decide if it is OK to the situation I am in.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have a lot of control over the grades I get in my classes.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. When plans change suddenly, I am flexible about the new thing I have to do.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I often act without thinking how things will turn out.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My parents think I am very forgetful.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am able to organize my school assignments and projects.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I complete my school work on time.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I often forget things like chores and homework.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I can independently set goals for my grades in school.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. If my first attempt to solve a problem fails, I usually don't know what to do next.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am able to remember the things I read.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. How old are you?
    10
    11
    12
    13
    14
    15
    16


  1. If you looked at my room at home it would be a mess right now.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I sometimes get in trouble because I come home late because I haven't realized how much time has gone by.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. It takes me a lot longer than my friends to do schoolwork.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I can get angry fast.
      1 2 3 4 5  
    Strongly agree   Strongly disagree